Harris, Steven D

Harris, Steven D is an sole proprietor health care provider with primary practice located at 102 Doctors Dr , Dothan AL 36301-2911. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Harris, Steven D can be contacted via phone (334) 793-4788.

Contact Information

Primary practice address
102 Doctors Dr Dothan AL 36301-2911
Fax: (334) 793-1561
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10735 Alabama

Profile Details

NPI number 1255393187
LBN Legal business name Harris, Steven D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Mar 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255393187 NPPES
Alabama Other 051031971 BCBS PROVIDER NUMBER
Alabama MEDICAID 0000319791 BCBS PROVIDER NUMBER
Alabama Other 040011243 BCBS PROVIDER NUMBER
Alabama Other 174014500 BCBS PROVIDER NUMBER

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